Grant Application

I. GENERAL INFORMATION

Please provide primary contact and structural details about your organization.

Name of organization seeking support

Full Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Executive Director / Contact Name

Phone

Web address (if applicable)

Board of Directors

Tax Exemption Number

Annual agency/program budget

Please attach a copy of your most recent financial statement.

Yes

Have you requested a donation from The Georgia Club Foundation in the past?

Yes

Has your agency ever been a Tour of Homes Beneficiary?

Yes

If yes, please list the year and program supported by the previous donation(s):

II. ORGANIZATION INFORMATION

Provide depth about your mission and background.

A. Please provide the overall purpose of the organization, its goals and objectives:

B. Please provide a brief summary of the organization’s history:

C. Please describe the organization’s current programs, activities, and recent accomplishments:

III. PURPOSE OF REQUEST

Details regarding the specific funding request.

A. Please describe the specific need or program to be funded by this donation:

B. Please describe the proposed goals and objectives achieved by fulfillment of the need or program:

C. Please describe the group or target population that will be aided by this program:

D. What amount of funds are you requesting:

E. Are there planned fundraising events to help meet expenses of this program?

Yes

If yes, please describe the event(s):

F. Will your organization receive any additional funding from any other source for this event?

Yes

If yes, please list all sources:

IV. EVALUATION

How will success and progress be tracked?

A. Please describe the means by which the program will be evaluated:

B. Please describe what constitutes progress:

Certification & Signatures

By signing below, the undersigned person(s) certify that they have read and understand The Georgia Club Foundation’s Funding Policies for Charitable Organizations, and that the information in this proposal is true and correct.

Executive Director/Contact Signature

Date

Treasurer Signature

Date